HomeMy WebLinkAboutPermit Septic Tank 1986-08-14Lane County Authori za,ttott fon
SEPTIC DISPOSAL SYSTEM INSPECTION FOR LN REV IEI^J
FOR OFPICE USE ONLY
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TDWNSHIP
17 03 27 :3.?
SECTlON OUT OF
155
TAX LOT
(L (
BLOCK5
PROPOSED USE OT PROPERTY
k-Il Residential t]
Commercial f eruri.
I ndus tr ia1
i,ocATroN ADDRESS Stnrsr Il519 hl. Qui nal t St. , Spri ngfi e'ld
ZLPCITY
STRUCTUPES CURRENTLY ON PROPERTY
SFD
E on Cent. turn L on Mill to Fairview - R on Quinalt
ETEECII-O-X-S TO SITE
DECI,ARED S VALUEDESCRIPTION OF PROPOSED WORK - BE SPECIFIC
SEPTIC INSPECTION FOR IN
I.'ATER SUPPLY ProposedExisti
* OF EI,IPLOYEES* OE STORIES= OE BEDROOMS
TELEPHONE NUMBEROiNER'S NAI"IE AND ADDRNSS
C00KE, EVERETT & AIice same
TELEPHONE NUMBER5 688 25271670 Oak St., Eugene 97477
CONTRACTOR'S NA!,IE AND OSR #485 29ANGST, Dorothy
TELEPHONE NU}4BER
I IIAVE CAREFULLY EXA!.rINED THE COMPLETED APPLICATION !'OR PERMIT, and do hereLy certify t-hat all infomation hereon ls true and correct' and that r
ther cerEify that registratsion wilh the Builderrs
is noted hereon, and that only subcontractors md
CHECKED TITIS APPLICATION THOROUGHLY.
DOROTHY ANGST 8-l r -86
DATENAME (please print)
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f:rther
ntizedauthorragerownerecordofconu1ntheprrrchasefothepropertytlinterestIlowinggal of Statethe ofthofordrDancestheandLaws OregonLanelndoneacc otdaur:k1 the Cowtyworkshabecertithaandalanyperf omealIfy furIDvlonthoutwlthemlofonbewiIldenaofurepeBuildingnthatandOCCUPANCY:ii.l qh.NOtoworktheheredescribed forthebas isreoRs70ifthat e xemptforcefu11dasffectbye xemptBoardnrequa
ANDondthisectREADIHAVEth701oRswillUSbearewhofnanceprojconplemPloyee
YOUR AUTHORIZATION qAS BEEN BASED ON THE FOLLOWING CONDITIONS
8-1 r -86Date:
rnstallation Recold rssued? fl Y"" fl N"ft senrtatrolt
S.D.S,
CO}4.I1ENTS:
Date:
tr
Date
Use
n
tr PLANS EXAMINATION:
front C L,s ide
R
B. P. #s. r. *
Specifications:
-
Tank
COI'I}IENTS:
interior re ar
Installation callon Maximum DePth
of Trenches
LineaL Feet
of tlrainfield
Parcel # Parcel Size-
, READ THIS SECTION CAREFULLY.
dt"o*o,r"ozZoNrNG:
l,tinimum Setbacks , "r,
zone Partition *-
(Der ORS 805
ENT OF PUBLIC WOHKS LAND MANAGEMENT DIVISION' 687.4061,
125 EAST 8TH AVENUE, EUGENE, OREGON 97401
))
LANE COUNTY
SEE REVERSE FOR fNSPECTION INI'ORMATION ct4-25 R*
IS
I
)
SETBiiCKS AND OTITCR COIiDITIONS OF APPROT/AL MUST BE STRIC"LY OBSERVED. VIOLATION CAN RESULT IN REVO-
C.iTIo:,i OF illIS PERIIIT, CIT;TlO:r UN-DsR PROVISIOT-S Oi LANE aoU):TY '.i INFRACTION ORDI:iANCE, AND,/OR OTHER
REi'lEDlES ALlot^lED BY LAW.
I,iHEN READY FOR INSPDCTION, CALL 687-1055. A !11NI}1U}1 OF AT LEAST 24 HOURS ADVAIiCE NOTICE FOR INSPEC-
@E}".i.i;Ve_-EEE_ro1IowIn9informationready:permitnumber,jobaddress,type
of inspecEion, when j-t wj.lI be ready, your name and phcne nunber, anC any specj.aL Cirections to site.
BUILDING DIVISION:
REOUIRED IIiSPECTIONS :
1. Foundati.on Inspection: To be made after trenches are excavated and forms erected and when allnaterials for the founCation are delivered on the lob. i{here concrete from a central mixingplant (comonly terned "trans-it mixed") is to be used, materials need no! be on the job.
2. Concrete SIab or Undel-aIoor Insoection: To be maCe after all j.n-sIab or under-floor buj.ldrngEEivfx equfFnmtl-cEnEult,-pipin{-c?Essorres, and other ancillary equipmenr irems are in
Place but before any concrete is poured or floor sheathing instatled, in-luding the subfloor.
l. I!9I}I_9 & Insulation In:peglions: To be made after the roof, all franing, fire blocking, andbracing are ln r.Iace and alI pipes, fi!ep1aces, chinneys, and vents are complete and ali rougheLectrical and plumbing are approved. A1I wall insulation and vapor barrier are in pl,ace.
4. La!h and/or Gypsum Board rnspection: To be made after alI lathing and qypsun board, i.ntertor
ua exterlor, -Is-Tn-FTre-Eut EETEFe any pLastering is applied.rd ueioie'qyp.w loira joints
and fasteners are taped and finj-shed.
5. Final rnspection: To be made after the building is conplete and before occupancy.
APPRoVAL REQUIRED. \o work shall be done on any-part of the builcing or structure beyond the pointindicated j'n each successive j-nspection without first obtaining the ipproval of the bLilding o'tiiciar.such aDproval shall be given cnly after an inspection shall have been-made of each.ucce..irie siepin the construclion as j.ndicated by each of the inspections required.
NoTE: A11 building Permits require j-nspections for the work authorized, such as buL not limited to:
A. Block l^IaLl: To be made after reinforcing is in pl-ace, but before any grout is poured. ThisInspectlm is required for each bond beari pour. There will be no approval unLil the ptmbinqand electrical inspections have been made ind approved.
B. l'lood stove: To be made after conpletion of nasonry (if appLicable) and when installation iscomPIet4 rnstal-l.ation shall be in accordance with an approvea, nationally recognized l."linqagency and the manufacturer's installation rnstructions.
C. Hobile Home: An inspection is reguired after the mobile home is connected to an approvedEEiEr-rci-G6pti-c systen for setback requirements, blocklng, footing connection, tiedoens,skirtrng, and plwbrng connections.
1. Footings and piers to comply wrth state foundation requirements for nobj.le homes or asrecomended by the manufacturer.
2. Mobile home minimum finish floor elevation sha11 be certified when required by a flood-pl-ain management letter.
3. Mobile home Liedouns, when required, and skirting shal] be installed and ready for j.nspec-tion within aL Least 30 days after occupancy. Tiedowns aod skirring sha1l be'i;"L.ii;iper enclosure.
D. *+++lg.P??1j- ::1", grade when steel is in place and before concrere is poured. Above gradewhen pool rs installed.
APPROVED PLANS MUST BE oN THE JOB SITE AT ALL TIMES DURIs-c WOR(ING HOURS. THIS pERMTT wrLL EXpIREIF WORK DOES NOT BEGIN WITHIN 180 DAYS, OR IF WORK IS SUSPENDED OR ABANDONED FOR }IORE THAN ],80 DAYS.SUSPENSION OR REvoCATToN l4AY oCCUR IF IHIS PERMIT t^,AS ISSUED ON THE BAsIS oF INCoMpLETE OR ERRONEoUSINFORMATION.
ANYONE PROCEEDING PAST THE POIIiT Of REOUIRED INSPECTIONS I4ILL DO SO AT THEIR OWN RISK.
SUBSURFACE AND ALTERNATIVE SE!'AGE DISPOSAL SYSTEMS:
1. Permits shall be effective for one year from the date of issuance.
2. upon completing Lhe construction for which a permit has been issued, the permic hol"der sharlnoti'fy the Lane county Department of Planning and comunity Development by submitting th;rnstaLration record form. The Department sh;11 inspect th6 construction to determi.. it itcompries uith the ruLes contained in this divisj-on. rf the construction does.o.piy ritn-"..nru1es, lhe Department sharr j.ssue a certificate of satj.sfactory compretion to tne'!lrniti'rrira...rf the construction does not comply wi.th such rules, the Depar-tment'shalL notify t;; p;;itholder and sha1l require satj.sfactory completion before issuing the certlficate. Fail,ure tomeet the requirements for satisfactory co*pletron wj.thj.n a rcas6nable time constitutes a vio-larion of ORS 454.605 to 454.745 and ihis iule.
Serbacks - Subsuriacc Sewa.re Disposal.
Scptic Tank Drainfield
Interior prope!ty ]ines
Edge oi road rlght-of-uay
Buildinq foundation
HelIs, other water sources
From:10,t0l
5,
50'
1.0 '10,
10'
r00,
AC.IVITY INFORMATIC ] SHEET ill'
-
COMPLETE THIS SECTION. iNCOMPLETE FORMS l.JILL BE REJECTED!
I &nolhu ,4nas +
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E c/pr. &q_741f
Apr"N c',{Loz furre
I
2 PROPERTY ADDRESS
( IF DIFFERENT
3 nvlarr 6i PAFIeEL NIJMEIEFI
( REQUIRED INFORMATION)
BUSINESS TELEPHONE #m
L
(from tax maps in Department of Assessment and Taxat'io
or from tax statement)
o /55-&/
?d / 7 ^O 3^a7^ 3
MNSETP RANEE SETTMN EL ZON I NG
TONING
ZON I NG
ACRES
0T /.{a-Etocr //
Leg-/ o
Tg-pNSFTp pANGE SEeTrgN ffi
MFNSEIP RENGE SEEIMN ffi
TOTAL CONTIGUOUS PROPERTY IN SAME OWNERSHIP:
()
4 SUBDIVISION ( if aPPl jcable)
5 REQUEST (s;tate exactly what you plan to do)
6 DIRECTIONS TO SITE
** FOR STAFF USE ONLY
ZONE/LAND USE:
o
**
14-33
LAND I,IANAGEMENT DIVISI0N / 125 E. 8th AVE', EUGENE', 0R 97401 / 687-4061
MAILING ADDRESS
/4u>e < b?r'asa:
BUSINESS TELEPHONE # HOME TELEPHONE #
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